Active NPI
Javana Clark, LCSW-C
- Social Worker
- Lanham, MD
National Provider Identifier
1871310862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 30334
- Practice address
- 4303 Forbes Blvd
Lanham, MD 20706-4333 - Phone
- (443) 438-6742
- NPI assigned
- Sep 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 30334 | MD | Primary |
Addresses
Primary practice location
4303 Forbes Blvd
Lanham, MD 20706-4333
Mailing address
1900 N Howard St # 300
Baltimore, MD 21218-5909
Phone (443) 438-6742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30334 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1871310862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 N HOWARD ST # 300",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212185909",
"telephone_number": "443-438-6742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4303 FORBES BLVD",
"city": "LANHAM",
"state": "MD",
"postal_code": "207064333",
"telephone_number": "443-438-6742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "JAVANA",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-23",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "30334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.